Lisa D. Merrick, LMBT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT008151 Issued in GA

Practice address

4101 Old Petersburg Rd Apt G55
Augusta, GA 30907-0728

Phone

(704) 777-9814

NPI assigned

Oct 17, 2012

Last updated

Oct 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1376896126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 OLD PETERSBURG RD APT G55",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070728",
            "telephone_number": "704-777-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 OLD PETERSBURG RD APT G55",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070728",
            "telephone_number": "704-777-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRICK",
        "first_name": "LISA",
        "middle_name": "D.",
        "credential": "LMBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT008151",
            "primary": true
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "GA",
            "license": "MT008151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Hoffmann Mercer, PHARMD
• Lindsey Ann Mercer, CADA
• Randall Miller Meredith, M.D.
• Sara Meredith
• David Edward Merrick II, PHARM.D.
• Robyn Hawkins Merritt, DC
• Shana Messex
• Bonni Renee Messner, ATC
• Elizabeth R Messulam, MD
• Metamark Laboratories, Inc.

• Massage Therapist in Augusta, GA
• Providers in Augusta, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.